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Individual

DR. BRADFORD LYNN BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
123 S MAIN ST, KANNAPOLIS, NC 28081
(704) 933-2225
(704) 933-8855
Mailing address
123 S MAIN ST, KANNAPOLIS, NC 28081
(704) 933-2225
(704) 933-8855

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
834
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8908280
NC
Enumeration date
08/10/2006
Last updated
03/21/2013
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